Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael W Mackie PHD a Professional Corp

Organization Forensic Psychologist · NPI 1174385892

Michael W Mackie PHD a Professional Corp is a Forensic Psychologist in Los Angeles, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10700 Santa Monica Blvd Ste 300
Los Angeles, CA 90025-6587
Phone: (424) 465-2840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Forensic Psychologist (primary) Taxonomy 103TF0200X

Record details

NPI number1174385892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Mackie — Owner Provider · (424) 465-2840
NPI enumeratedJanuary 29, 2024
Last updated in NPPESJanuary 29, 2024
Certification dateJanuary 28, 2024
Mailing address10700 Santa Monica Blvd Ste 300, Los Angeles, CA 90025-6587

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